Recurrence of Ameloblastic Fibro-Odontoma in a Child: A Case Report

Abstract

Introduction: A young boy presented with mandibular swelling at the Department of Oral and Maxillofacial Surgery in Hospital Leforte, São Paulo, Brazil. Radiography showed a mixed bone lesion. Computed tomography (CT) findings were compatible with ameloblastic fibro-odontoma (AFO). Case Report: An excisional biopsy was performed under general anesthesia. At the 6-year follow-up, local inflammation and mild exudates were found. Local recurrence of the lesion was observed on CT. Therefore, excision and curettage were performed. No signs of recurrence have been detected to date. Ameloblastic fibro-odontoma is a rare benign neoplasm most commonly occurring in the first decade of life, with minimal probability of malignancy. Conclusion: Clinical, radiological, and histopathological findings aid in the diagnosis, and long-term follow-up is necessary as recurrence can develop even after 6 postoperative years.

Ameloblastic Fibro-Odontoma of the Posterior Mandible: A Rare Pathological Entity

“…Consequently, the recommended course of treatment involves conservative surgical intervention, entailing enucleation, in conjunction with the extraction of a non-erupted tooth. However, it is worth noting that documented cases exist in which the involved teeth have been preserved [ 13 ]. Despite the lesion’s limited propensity for recurrence, there have been instances where conservative treatment aimed at preserving the associated teeth has yielded reports of recurrence [ 13 ].…”

“…However, it is worth noting that documented cases exist in which the involved teeth have been preserved [ 13 ]. Despite the lesion’s limited propensity for recurrence, there have been instances where conservative treatment aimed at preserving the associated teeth has yielded reports of recurrence [ 13 ]. Consequently, to eliminate the possibility of recurrence, the unerupted third molar was extracted in conjunction with AFO enucleation.…”

Ameloblastic fibro‑odontoma in the posterior mandible: A case report

“…Consequently, the recommended course of treatment involved conservative surgical intervention, entailing enucleation, in conjunction with the extraction of a non-erupted tooth. However, it is worth noting that documented cases exist in which the involved teeth have been preserved (15,16). Despite the limited propensity of the lesion for recurrence, there have been instances where conservative treatment aimed at preserving the associated teeth has yielded reports of recurrence (15).…”

“…However, it is worth noting that documented cases exist in which the involved teeth have been preserved (15,16). Despite the limited propensity of the lesion for recurrence, there have been instances where conservative treatment aimed at preserving the associated teeth has yielded reports of recurrence (15). Consequently, to eliminate the possibility of recurrence, the unerupted third molar was extracted in conjunction with AFO enucleation.…”